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  • Periodic Reporting for period 1 - PICASO (A Personalised Integrated Care Approach for Service Organisations and Care Models for Patients with Multi-Morbidity and Chronic Conditions)
H2020

PICASO Report Summary

Project ID: 689209
Funded under: H2020-EU.3.1.6.

Periodic Reporting for period 1 - PICASO (A Personalised Integrated Care Approach for Service Organisations and Care Models for Patients with Multi-Morbidity and Chronic Conditions)

Reporting period: 2016-02-01 to 2017-12-31

Summary of the context and overall objectives of the project

The PICASO project is developing an ICT platform to support the coordination of care plans for people diagnosed with co-occurring chronic diseases. A better coordination of care plans between healthcare sectors is high on the European health agenda, together with the efficient management of the steadily rising number of patients with co-existing chronic conditions. The PICASO project aims to develop information and communication technologies that meet these demands, by supporting a continuum of care from hospitals and outpatient clinic to the home.

The PICASO platform will enable sharing of a patient's complete care pathways with tools to establish her health status, predict risks and adjust care. Based on monitoring of different physiological parameters at home, the patients can actively participate in their own care. The result is a better management of co-existing diseases and coordination of care plans for the benefit of patients and carers across organisations.
To demonstrate the platform and its wide applicability, the technologies will be trialed in two different national settings with two different patient groups, involving 60 patients. In Italy, the University Hospital of Tor Vergata in Rome will enrol patients with Parkinson's disease and in Germany, the University Hospital of Düsseldorf will engage patients diagnosed with Rheumatoid Arthritis. Both patient groups have Cardiovascular Diseases as co-morbidities and both settings share the complexity of treating co-occurring diseases, also known as multimorbidities. The trials will establish how PICASO can improve the exchange of data between stakeholders and validate the effect of PICASO on the care systems as well as the acceptance of the system by awider group of stakeholders such as patients, relatives and the society at large.

Technology

The PICASO platform is a service oriented, cloud-based integration platform based on an orchestration of personalised care services defined by clinicians. The method for sharing patient information between all relevant formal and informal care providers is using a trust-federated solution, which overcomes the problem of data privacy in cloud-based health systems. The platform consists of an Integrated Care Platform, a Data Management Platform and a Multi-Morbidity Decision Tool

The PICASO Integrated Care Platform

- is an integration platform for sharing a patient’s complete care pathways across multi-actor care spaces with appropriate tools such as risk prediction models for the interpretation of patients’ immediate and future health status, and the ability to dynamically adjust the content and management of the delivered care services, so they are always adapted to the patient’s personal health status and ability;
- uses a federated cloud structure consisting of Patient Private Cloud, Private Care System Cloud and Public Cloud, making it possible for healthcare organisations to benefit from the efficiency and scalability of cloud solutions without compromising the patient data security and privacy;
- implements a FHIR-based (Fast Healthcare Interoperability Resources, HL7) management and exchange of care plans and related health data, an integrated monitoring system combining vital signs monitoring, activity and behaviour monitoring and self-assessments using questionnaries thus given a complete view of the patient's health status;
- creates a new approach to integrated care, based on the concept of dynamic service narratives that define the workflow (content and management of care services) to be launched and orchestrated across the relevant care spaces;
- provides a personalised guiding and reminder system for patients to carry out different activities as part of their therapy; and
- provides decision support tools for multi-actor interaction, and enables patients and relatives to become active participants.

The PICASO Data Management Platform

- provides role-based access for carers to distribute shared data and e

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

The project approaches its 2nd year and is coming to the pilot phase, where all the components will be deployed and validated by the different stakeholders. At the moment of writing this report, all the components have been developed after a detailed user requirements phase, where all the stakeholders have input their needs from different perspectives: security, privacy and data protection, health-related workflows and processes, usability, etc.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

At present stage, project results have not yet materialised to allow for an assessment. The PICASO project has very high ambitions and will provide significant progress beyond the state-of-the-art, not only in eHealth and eCare systems, but also in specific healthcare areas such as care plans for new patient pathways and seamless workflow integration across a large number of care providers and actors, data and knowledge sharing in collaborative environments based on shared memory, and new care models for management of chronic patients with multi-morbidity.

The expected impact will be measured by the following main KPIs which will be assessed in the evaluation of the project based on trial outcome:

- 20% reduction in admissions and re-admissions
- 10% reduction in bed days
- 25% reduction in visits to General Practitioner
- 15% improvement in physical well-being/quality of life
- 90% satisfaction rate on how well PICASO supports interaction between patients, informal carers and care providers (enhanced interaction paradigms)

The baseline data which will be used in the impact assessment analysis has been identified. The assessment of the potential health and socio-economic impact and the wider societal implications will be conducted as the results from the two trials are collected and analysed.

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